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Student Parking Permit
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Parking Permit Number
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Owner Information
Required: This information will only be used in the event we need to contact you about your vehicle.
First Name
Last Name
Home Mailing Address
Home Mailing Address
Country
Street
City
Region
Postal Code
School Address
School Address
Country
Street
City
Region
Postal Code
Mobile Phone Number
Emergency Contact Information
Optional: In an emergency situation, if we are unable to reach you, who else should we contact about your vehicle?
Contact First Name
Contact Last Name
Phone Number
Relationship
Brother
Father
Legal Guardian
Mother
Other
Sibling
Sister
Step-Father
Step-Mother
Vehicle Information
Required: This information must match the information that will be displaying on the permit(s):
Vehicle Year
Vehicle Make
Vehicle Model
Vehicle Color
License Plate State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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Indiana
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
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Nevada
New Hampshire
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New York
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Ohio
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Oregon
International/Not Listed
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South Dakota
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Washington
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Wisconsin
Wyoming
License Plate Number
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